Provider Demographics
NPI:1063671311
Name:ONWUDIWE, OGECHI C (MD)
Entity Type:Individual
Prefix:DR
First Name:OGECHI
Middle Name:C
Last Name:ONWUDIWE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:310 S WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22314-3628
Mailing Address - Country:US
Mailing Address - Phone:703-795-9615
Mailing Address - Fax:
Practice Address - Street 1:310 S WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22314-3628
Practice Address - Country:US
Practice Address - Phone:703-795-9615
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-03
Last Update Date:2024-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA101250252207N00000X
MA259376207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology